Joseph Phillip Peter, MD in Crestview, FL - Medicare Pediatrics

Joseph Phillip Peter, MD is a medicare enrolled "Pediatrics" physician in Crestview, Florida. His current practice location is 332 Medcrest Drive, Crestview, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 683-5100.

Joseph Phillip Peter is licensed to practice in Florida (license number ME74916) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053343343.

Contact Information

	Joseph Phillip Peter, MD
	332 Medcrest Drive, Crestview, FL 32536
	(850) 683-5100
	(850) 683-5102

Physician's Profile

Full Name	Joseph Phillip Peter
Gender	Male
Speciality	Pediatrics
Location	332 Medcrest Drive, Crestview, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053343343
Provider Enumeration Date: 07/07/2006
Last Update Date: 11/10/2021

Medicare PECOS Information:

PECOS PAC ID: 8628398468
Enrollment ID: I20150519002489

Medical Identifiers

Medical identifiers for Joseph Phillip Peter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053343343	NPI	-	NPPES
255307400	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	ME74916 (Florida)	Secondary
208000000X	Pediatrics	ME74916 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Joseph Phillip Peter allows following entities to bill medicare on his behalf.

Entity Name	Sacred Heart Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joseph Phillip Peter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Joseph Phillip Peter, MD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 254-5920	Joseph Phillip Peter, MD 332 Medcrest Drive, Crestview, FL 32536 Ph: (850) 683-5100

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Pediatrics Doctors in Crestview, FL

Dr. Sharon Rosenberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 E Redstone Ave, Crestview, FL 32539 Phone: 850-689-0555 Fax: 850-689-3531
Dr. Heather Lynn Macadam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4100 S Ferdon Blvd Ste C5, Crestview, FL 32536 Phone: 850-682-1164 Fax: 850-682-5302
J. Enrique Lujan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 160 E Redstone Ave, Crestview, FL 32539 Phone: 850-689-0555 Fax: 850-689-3531
William Scott Wakefield, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 332 Medcrest Dr, Crestview, FL 32536 Phone: 850-683-5100 Fax: 850-683-5102
Tamika D Ussery-freeman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 550 Redstone Ave W Ste 390, Crestview, FL 32536 Phone: 850-683-5100 Fax: 850-683-5102

Joseph Phillip Peter, MD - Medicare Pediatrics in Crestview, FL

Contact Information

Physician's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Bioniche Life Sciences announces first quarter fiscal 2011 results

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Pediatrics Doctors in Crestview, FL